Applied Nursing Research最新文献

{"title":"The impact of psychological resilience on professional commitment among caregiving students in Taiwan: A cross-sectional study","authors":"Chia-Chen Chang ,&nbsp;Chen-Yin Tung ,&nbsp;Su-Hao Fan ,&nbsp;Wei-Hsiang Huang","doi":"10.1016/j.apnr.2024.151891","DOIUrl":"10.1016/j.apnr.2024.151891","url":null,"abstract":"<div><h3>Aim/objective</h3><div>To explore the impact of psychological resilience and its dimensions on professional commitment among caregiving students in Taiwan.</div></div><div><h3>Background</h3><div>Professional commitment is crucial in caregiving professions, yet its relationship with psychological resilience among caregiving students in Taiwan remains underexplored. Understanding this relationship can guide educational strategies to enhance students' professional commitment.</div></div><div><h3>Design</h3><div>A cross-sectional study was conducted.</div></div><div><h3>Methods</h3><div>The study included 258 students from 23 colleges specializing in caregiver programs in Taiwan in 2021. A stratified random sampling method was used. Data were collected using the Resilience Scale for Adults (measuring dimensions like personal strengths, social resources, and family resources) and the Professional Commitment Scale. Validity and reliability were confirmed through expert review, item analysis, exploratory factor analysis, and internal consistency analysis.</div></div><div><h3>Results</h3><div>Personal strengths emerged as the strongest predictor of professional commitment (β = 0.26), followed by participation in extracurricular activities (β = 0.13). Background factors such as college type and experience in campus club explained 13 % of the variance in professional commitment (adjusted R² = 0.13). Future organizational style, family resources, and personal strengths explained an additional 2.0 %, 2.0 %, and 3.0 % of the variance, respectively, leading to a total explanatory power of 24.0 %.</div></div><div><h3>Conclusions</h3><div>To improve caregivers' future professional commitment, it is recommended that caregiving programs focus on enhancing students' psychological resilience and encourage their participation in extracurricular activities.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151891"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The lived experiences of nurse practitioners during a nursing strike","authors":"Shelby E. O'Rourke,&nbsp;Jane Dimmitt Champion","doi":"10.1016/j.apnr.2024.151896","DOIUrl":"10.1016/j.apnr.2024.151896","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to understand the lived experiences of nurse practitioners (NPs) providing patient care during a nursing strike in a hospital setting.</div></div><div><h3>Background</h3><div>The nursing shortage afflicts the provision of health care. A recurring loss of seasoned nurses represents a loss of expertise and organizational knowledge, leading to internal burnout, inadequate resources, and recently, nursing strikes. Many strikes have occurred in health care, yet little is known about NPs experiences when caring for patients during nursing strikes.</div></div><div><h3>Methods</h3><div>A qualitative research design included personal interviews. Snowball sampling included identification of an initial key informant meeting inclusion criteria, followed by subsequent requests to refer other potentially eligible individuals.</div></div><div><h3>Results</h3><div>Interviews (<em>n</em> = 10) contained candid stories about primarily negative experiences creating moral and ethical dilemmas for NPs. Content analysis identified five themes: a) What do I do? b) We didn't know it was coming, c) COVID-19 caused it, d) It put our patients at risk, and e) I never want this to happen again. Experienced, older NPs tended to disagree with nursing strikes while younger, less experienced NPs expressed greater support of the strike.</div></div><div><h3>Conclusions</h3><div>Results call attention to NPs concerns while providing guidance for those preparing for these events. NPs experiences reflected moral and ethical dilemmas impacting patient care. Recommendations include integration of information via professional, educational programming to address these ethical and moral dilemmas. Incorporating a framework for management of ethical dilemmas and offering insights regarding expectations should one be required to practice during a nursing strike, is recommended.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151896"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing shared decision-making on hospital wards as perceived by healthcare professionals: A qualitative study","authors":"J. Bakker ,&nbsp;E.M. Huntink ,&nbsp;L.J. Peters ,&nbsp;I.M. Brugman ,&nbsp;D.T. Ubbink ,&nbsp;L. Schoonhoven","doi":"10.1016/j.apnr.2024.151892","DOIUrl":"10.1016/j.apnr.2024.151892","url":null,"abstract":"<div><h3>Objectives</h3><div>The extent to which healthcare professionals apply Shared Decision Making (SDM) on hospital wards is still unknown. The aim was to explore the current knowledge of SDM among healthcare professionals and the experienced factors influencing SDM on the wards of Dutch hospitals, regarding both treatment and care decisions.</div></div><div><h3>Setting</h3><div>Twelve hospital wards in two university medical centres and one teaching hospital.</div></div><div><h3>Design</h3><div>Explorative qualitative design including semi-structured interviews with healthcare professionals working on hospital wards.</div></div><div><h3>Results</h3><div>23 Healthcare professionals of 12 different wards were interviewed about their knowledge and the factors influencing SDM on their hospital ward. Most healthcare professionals had heard about SDM, but their understanding of the concept of SDM differed. Influencing factors were found on three levels. Organizational factors: lack of a clear vision, various approaches of ward rounds, time, and the organizational structure. Patient-related factors: the situation of the patient, participation of relatives and perceptual differences. Healthcare professional-related factors: motivation, experience, workload, continuity of care, familiarity with the patient, interprofessional communication, tools, and education.</div></div><div><h3>Conclusion</h3><div>All healthcare professionals recognize the importance of SDM and involving the patient in healthcare decisions, because they feel it enhances the quality of care and prioritizes patient-centered care. Nevertheless, healthcare professionals frequently encounter barriers in this setting. To facilitate SDM on hospital wards in the Netherlands, it is beneficial to embed SDM in the inpatient setting and establish a clear structure for interprofessional SDM regarding both treatment and care decisions, in which physicians, nurses and patients play an essential role.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151892"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric testing of the caring for the caregiver survey for healthcare providers","authors":"Kathryn Sabo PhD, RN, CNE ,&nbsp;Perman Gochyyev PhD ,&nbsp;Kristen Sethares PhD, RN, CNE, FAHA, FHFSA ,&nbsp;Elizabeth Chin PhD, RN","doi":"10.1016/j.apnr.2024.151880","DOIUrl":"10.1016/j.apnr.2024.151880","url":null,"abstract":"<div><h3>Aim</h3><div>The purpose of this study was to assess the factorial structure and model fit of the Caring for the Caregiver Scale.</div></div><div><h3>Background</h3><div>Caregiving is an all-encompassing role that results in negative health consequences. Healthcare providers require specific knowledge and clinical skills to support caregivers with health promotion. There is no instrument to measure healthcare providers' knowledge, attitudes, and practices on assessing and supporting caregivers. The Healthcare Provider Caring for the Caregiver Scale was developed to identify gaps in healthcare providers' knowledge and clinical practices and help pinpoint areas where interventions may be necessary.</div></div><div><h3>Methods</h3><div>Exploratory factor analysis and absolute fit measures were used to evaluate the factorial structure and model fit of the instrument. A multidimensional ordinal Rasch and differential item functioning test was used to fit a three-dimensional partial credit model and ensure the validity of the use of the instrument across subgroups.</div></div><div><h3>Results</h3><div>A three-factor model was confirmed based on fit statistics and the clustering of the inter-item correlations. The composite measure across 30 items demonstrated strong internal consistency and excellent reliability. Item fit indices estimated from the Rasch model indicated an overall good fit except for two items showing a misfit.</div></div><div><h3>Conclusions</h3><div>The Caring for the Caregiver Scale demonstrates sufficient factorial structure and model fit making it valuable in evaluating healthcare providers' knowledge, attitudes, and practices with assessing and supporting caregivers. Data collected from this instrument may identify gaps in knowledge and clinical skills and guide intervention development that enhances healthcare providers' ability to deliver quality care to caregivers.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151880"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The quality of orientation for newly hired nurses in acute care settings in a university hospital: A cross-sectional study","authors":"Satu Rauta RN, PhD ,&nbsp;Kristiina Junttila RN, PhD ,&nbsp;Camilla Strandell-Laine RN, PhD ,&nbsp;Jaana Peltokoski RN, PhD ,&nbsp;Toni Haapa RN, PhD","doi":"10.1016/j.apnr.2025.151903","DOIUrl":"10.1016/j.apnr.2025.151903","url":null,"abstract":"<div><h3>Aims</h3><div>This study aims to describe how newly hired nurses assess the quality of the orientation in acute care settings in a university hospital.</div></div><div><h3>Background</h3><div>Orientation for newly hired nurses in acute care settings, where special competence, ability to collaborate with different professional groups, and wide technical and technological skills are required, is crucial to ensure patient safety and high-quality standards in nursing care.</div></div><div><h3>Methods</h3><div>A cross-sectional study design was applied. Strengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines were followed. A convenience sample consisted of nurses (N = 120) from nine operating rooms and four intensive care units. The participants were newly hired (for one year). The data was collected via an online questionnaire including three parts: 1) socio-demographic and orientation-related items; 2) the Comprehensive Orientation Process Evaluation (OPE-instrument© Peltokoski, 2016); and 3) an adopted version of the Clinical Learning Environment, Supervision and Nurse Teacher Scale (CLES+ T Scale© Saarikoski et al., 2008). Descriptive and bivariate statistical analyses were used.</div></div><div><h3>Results</h3><div>66 newly hired nurses answered the survey; the response rate was 44 %. The comprehensive orientation process was assessed as follows: goals and responsibilities, and standardized content of the comprehensive orientation process (mean 3.98), implementation of the comprehensive orientation process (mean 3.95), and evaluation of the comprehensive orientation process (mean 3.31). The quality of the clinical learning environment and supervision was assessed as follows: premises of learning on the ward (mean 4.04), supervisory relationship (mean 4.04), atmosphere on the ward (mean 3.77), and premises of nursing care on the ward (mean 3.65). Setting and achieving learning goals and professional growth supporting orientation were most often statistically significantly associated with a comprehensive orientation process and a clinical learning environment and supervision.</div></div><div><h3>Conclusion</h3><div>Although newly hired nurses assessed the quality of the orientation at an appropriate level, evaluation should be systematically performed at different checkpoints of the orientation process. Learning goals should be set individually, and their achievement monitored to confirm the quality of the orientation.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151903"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a 12-week lower limb resistance training with breathing regulation in patients with diabetes-related foot ulcers: A randomized controlled trial","authors":"Jia-Ling Wu MS, RN ,&nbsp;Mei-Ling Yeh PhD, DMS, RN, FAAN (Distinguished Professor) ,&nbsp;Jocelyn Liao","doi":"10.1016/j.apnr.2025.151911","DOIUrl":"10.1016/j.apnr.2025.151911","url":null,"abstract":"<div><div>Patients with diabetes-related foot ulcers may require hospitalization and face an increased risk of amputation, which can significantly impact their quality of life. One potential solution is exercise, which can regulate blood glucose levels, improve wound healing, and enhance overall well-being. This randomized controlled trial aimed to evaluate the impact of a lower limb resistance training program combined with breathing-regulation techniques on glycemic control, wound healing, and quality of life in patients with diabetes-related foot ulcers. Patients hospitalized for type 2 diabetes-related foot ulcers were recruited from a single medical center and randomly divided into two groups. The control group (<em>n</em> = 31) received standard treatment, while the exercise group (<em>n</em> = 28) received standard treatment along with lower limb resistance training and breathing-regulation techniques. Assessments of fasting blood glucose levels, hemoglobin A1c (HbA1c) levels, wound healing, and quality of life were carried out at the start of the study and week 4, week 8, and week 12 of the intervention. The exercise group demonstrated significant improvements in fasting blood glucose and HbA1c levels, as well as in physical health, psychological well-being, social relationships, and environmental aspects of quality of life over the 12 weeks compared to both the control group and the baseline (<em>p</em> &lt; .05). However, no significant change was observed in wound healing (<em>p</em> &gt; .05). The resistance training program for the lower limbs, combined with breathing-regulation techniques, is recommended for improving blood glucose levels and quality of life over 12 weeks.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151911"},"PeriodicalIF":2.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of e-health literacy on health-related quality of life in young adults with type 2 diabetes: Parallel mediation of diabetes self-efficacy and self-care behaviors","authors":"Yura Jang ,&nbsp;Youngran Yang","doi":"10.1016/j.apnr.2025.151917","DOIUrl":"10.1016/j.apnr.2025.151917","url":null,"abstract":"<div><h3>Aim</h3><div>To explore the impact of e-health literacy (e-HL) on health-related quality of life (HRQOL) in young adults with type 2 diabetes (T2D), focusing on the mediating roles of diabetes self-efficacy and self-care behaviors.</div></div><div><h3>Background</h3><div>If glucose levels are not kept within the target range, people with T2D may experience complications such as retinopathy, kidney disease, and cardiovascular disorders.</div></div><div><h3>Methods</h3><div>The participants were 150 young adults, aged 18 to 39, with T2D. We assessed e-HL, diabetes self-care behaviors, diabetes self-efficacy, and HRQOL through a structured online survey. Data were analyzed using IBM SPSS Statistics, incorporating Pearson's correlation and PROCESS macro mediation analysis.</div></div><div><h3>Results</h3><div>E-HL, diabetes self-efficacy, and diabetes self-care behavior together accounted for 40.6 % of the variance in HRQOL. Higher e-HL was significantly correlated with improved HRQOL. A significant mediating effect of diabetes self-efficacy in the relationship between e-HL and HRQOL was observed, with an effect size of 0.300 ([95 % confidence interval = 0.055, 0.577]). However, the mediating effect of diabetes self-care behavior in the relationship between e-HL and HRQOL through diabetes self-efficacy was small and not statistically significant.</div></div><div><h3>Conclusions</h3><div>This study underscores the critical role of e-HL in enhancing HRQOL among young adults with T2D. It highlights the need for targeted digital health education, especially in subgroups with lower educational levels or poor health habits. The findings advocate for tailored interventions to boost self-efficacy and self-care behaviors, thereby improving overall quality of life in this population.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151917"},"PeriodicalIF":2.7,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143272501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypoglycemia knowledge assessment tool — Development and validation of the Hypoglycemia Management Knowledge Scale in Taiwan","authors":"Mei-Chuan Huang PhD ,&nbsp;Hua-Tsen Hsiao PhD ,&nbsp;Ya-Ping Yang PhD ,&nbsp;Hsiu-Ling Liang Master, RN ,&nbsp;Chung-Yuan Chen MD","doi":"10.1016/j.apnr.2025.151916","DOIUrl":"10.1016/j.apnr.2025.151916","url":null,"abstract":"<div><h3>Background</h3><div>Knowledge can guide and support behaviors. With accurate knowledge, patients are better equipped to engage in appropriate self-care behaviors and effectively manage hypoglycemia. However, there is currently a lack of reliable and valid assessment scales specifically designed to measure hypoglycemia knowledge, which could serve as valuable clinical evaluation tools for healthcare professionals.</div></div><div><h3>Aim</h3><div>To develop and validate a reliable and valid hypoglycemia management knowledge scale to assess the knowledge of hypoglycemia management in patients with diabetes.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted, recruiting 300 patients with type 2 diabetes who had experienced hypoglycemic events from a medical center and a primary care clinic in southern Taiwan between December 2021 and September 2023.</div></div><div><h3>Results</h3><div>Initially, 25 questions were selected, achieving a content validity index of 0.92. Through exploratory factor analysis and confirmatory factor analysis, the scale was refined into an 8-factor and 3-factor model, with factor loadings ranging from 0.5 to 0.9. The questions were categorized into three factors: blood glucose determination, carbohydrate supplementation, and blood glucose testing. The internal consistency, measured using the <em>Kuder</em>-<em>Richardson 20</em> (KR-20), was 0.758.</div></div><div><h3>Conclusions</h3><div>The hypoglycemia management knowledge scale developed in this study demonstrated sufficient validity and reliability, making it a useful tool for quickly assessing patients' knowledge of hypoglycemia management and serving as a reference for hypoglycemia education.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151916"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143272504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the impact and challenges of tele-ICU: A qualitative study on nursing perspectives","authors":"Ahmad Rajeh Saifan PhD, RN ,&nbsp;Mohammad Sameer Odeh MSN, RN ,&nbsp;Bayan Oleimat MSN, RN ,&nbsp;Mohannad Eid AbuRuz PhD, RN, CNS ,&nbsp;Alaa Mohammad Ahmed ,&nbsp;Nadin M. Abdel Razeq Ph.D., RN, NIDCAP ,&nbsp;Waddah D'emeh PhD, RN ,&nbsp;Mohammad Yahya Ayoub MPH, RN ,&nbsp;Nabeel Al-Yateem Ph.D., RN","doi":"10.1016/j.apnr.2025.151914","DOIUrl":"10.1016/j.apnr.2025.151914","url":null,"abstract":"<div><h3>Aim</h3><div>The primary objectives of this study were to explore ICU and Tele-ICU nurses' perceptions of Tele-ICU, focusing on its perceived benefits, challenges, and implications for integration into critical care settings.</div></div><div><h3>Background</h3><div>Tele-Intensive Care Unit (Tele-ICU) services are reshaping critical care by enabling remote monitoring and enhancing patient outcomes. This study investigates the experiences of nurses transitioning from bedside ICU to Tele-ICU roles, focusing on the impact on patient care, organizational benefits, and implementation challenges.</div></div><div><h3>Methods</h3><div>A qualitative approach was used, involving semi-structured interviews with ICU nurses who transitioned to Tele-ICU roles. An interview guide was developed to explore key topics, including the benefits, challenges, and future implications of TeleICU. Thematic analysis was applied to identify recurring themes and subthemes.</div></div><div><h3>Results</h3><div>Participants highlighted several benefits of Tele-ICU, including continuous patient monitoring, improved infection control, and enhanced resource utilization. Organizational advantages included reduced length of stay, lower readmission rates, and improved post-discharge planning. However, significant barriers were identified, such as technological infrastructure issues, financial constraints, resistance to workflow changes, and gaps in training. Cultural preferences for in-person care and regulatory challenges were also noted.</div></div><div><h3>Conclusions</h3><div>Tele-ICU presents significant opportunities to improve critical care delivery, but its success depends on addressing implementation barriers. Investments in technology, comprehensive training, and supportive policies are essential for maximizing its potential and facilitating broader adoption in healthcare settings.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151914"},"PeriodicalIF":2.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143272483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Improving postnatal maternity care following severe perineal trauma by evaluating end-user's experiences of a pilot trial exploring laxative management; A qualitative study”","authors":"R. Sfreddo RM ,&nbsp;V. Hoang MBBS PhD ,&nbsp;E.M.A. Murphy MBBS PhD ,&nbsp;B. Turner BSc ,&nbsp;K. Juszczyk MBBS ,&nbsp;J. Barnes MBBS ,&nbsp;A. Parange MBBS ,&nbsp;J. Tucker RM PhD","doi":"10.1016/j.apnr.2025.151913","DOIUrl":"10.1016/j.apnr.2025.151913","url":null,"abstract":"<div><h3>Background</h3><div>Trauma to the anal sphincter following vaginal birth increases the risk of anal incontinence. Laxative management in the postnatal period is recommended to improve defecation and reduce the risk of wound breakdown. Research underpinning management guidelines is lacking and omits end-users (clinicians and birthing women) involvement in evaluating pilot studies. Incorporating end-users' enhances the relevance of the research to those being investigated, improves the design, and translation of findings into clinical practice. No studies have evaluated end-users' experiences in research which investigates laxative management following anal sphincter injury.</div></div><div><h3>Aim</h3><div>This study identifies the barriers and facilitators in a pilot study research design and suggests improvements to inform larger scale research to improve clinical practice.</div></div><div><h3>Methods</h3><div>A phenomenological qualitative study using semi-structured interviews was adopted. Purposeful sampling of health professionals (<em>n</em> = 85) involved in the direct care of women following OASIs and women (<em>n</em> = 64) sustaining OASIs during the recent pilot trial. Data analysis employing thematic analysis.</div></div><div><h3>Findings</h3><div>The consensus from interviews (<em>n</em> = 23) highlighted the research was feasible with suggested improvements to enhance future recruitment, information for linguistically diverse women and review of quality-of-life tools. The evaluation process enhanced future research engagement.</div></div><div><h3>Conclusions</h3><div>The reliability and validity of future research can be improved adopting a qualitative framework and end-users' to evaluate pilot studies. Findings from this pilot study identified issues including recruitment, CALD participant information and accuracy of QoL data collection tools that needed to be addressed enhancing future findings that are relevant to the needs of the study population and enhance translation into practice.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151913"},"PeriodicalIF":2.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143271802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}